Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial.

Background: Myofascial pain syndrome (MPS) is described as pain that arise from myofascial trigger points (MTrPs) which is a hyperirritable spot within a taut band of skeletal muscle. A newer needling technique called the interfascial hydrodissection (IH), wherein anesthetic saline solution (ASS) is injected between the fascia of the muscles using ultrasound as guide. It is theorized that this technique blocks the nerve branches and improve gliding in between the muscle and fascia. Objective: To determine the short and long-term effects of interfascial hydrodissection using 2% Lidocaine and saline solution compared to dry needling with MPS of the upper trapezius on pain and quality of life using. Methods: This study is a single-blind randomized controlled trial where ultrasound guided IH with ASS was compared to dry needling (DN) of the MTrPs. Both groups were taught self-stretch exercises (SSE) to be done everyday after the procedure. Outcome measures were pain using the visual analogue scale (VAS) and quality of life assessment with EQ-5D-5l questionnaire. All participants were assessed by a blinded assessor before the intervention, immediately after, 10 and 30 min, one week, two weeks, four weeks, three months, and six months after the procedure. Data Analysis: Two-way mixed ANOVA and follow-up independent T-test were conducted for the outcome measures across several time points between the 2 groups. Results: A total of 46 participants with two dropouts were all included during the final analysis. Both groups demonstrated significant differences in VAS scores between baseline and the different time points, the IH + SSE group demonstrated the more significant effect size at as compared to the DN + SSE group. For EQ-5D-5l, no statistical differences were seen in all dimensions but there was a larger effect size for usual activities, pain/discomfort and anxiety/depression. Conclusion: Interfascial hydrodissection is a technique that can manage both short and long term symptoms of MPS. This could be utilized as an alternative management for those with chronic MPS of the upper trapezius. Philippine Health Research Registry ID: PHRR221003-005034.

Laser-based selective BTEX sensing using deep neural networks.

A mid-infrared absorption-based laser sensor is developed for selective and simultaneous benzene, toluene, ethylbenzene, and xylenes (BTEX) measurements under ambient conditions. The sensor is based on a distributed feedback inter-band cascade laser emitting near 3.3 µm. Wavelength tuning and deep neural networks were employed to differentiate the broadband absorbance of BTEX species. The sensor was validated with gas mixtures and real-time measurements were demonstrated at a temporal resolution of 1 s. Minimum detection limits for BTEX in air are 8, 20, 5, and 46 ppm, respectively. This sensor can be utilized to monitor BTEX emissions in the petrochemical, rubber, and paint industries to avoid hazardous health effects.

Primary Cardiac Triple-Hit Lymphoma.

Cardiac double-hit and triple-hit lymphomas (DHLs, THLs) are rare; in fact, studies examining both DHL and THL remain scarce. THL with cardiac involvement constitutes a rare disease with few cases reported so far. Thus, in this study, we report the case of a 67-year-old woman who presented with initial symptoms of pulmonary embolism. Upon further evaluation, a right atrial mass was detected incidentally, and this was surgically removed under the assumption of a cardiac myxoma. Later, immunohistochemistry analysis of the mass revealed a THL. Aggressive treatment with chemotherapy was necessary; however, the patient refused treatment and had a poor prognosis.

Cómo afectan los incidentes críticos a los residentes de Medicina Familiar y Comunitaria / How critical incidents affect Family and Community Medicine residents

Objetivo: conocer y analizazr las repercusiones que tienen los incidentes críticos (IC) identificados y recogidos por los residentes Medicina Familiar y Comunitaria (MFyC) en su portafolio formativo de formación reglada. Métodos: estudio cuanti-cualitativo, retrospectivo, descriptivo y analítico, multicéntrico, de los informes de IC de los residentes. Emplazamiento: Atención Primaria. Centros de salud docentes de la Unidad Docente AFyC 695 de Murcia. Se incluyen 62 del total de 76 residentes en formación en 2015, y sus portafolios formativos. Los casos son los informes de IC en los que constan respuestas manuscritas de respuesta abierta. Se obtiene consentimiento informado de los residentes. Las respuestas se codifican, agrupan y tabulan, analizándose las consecuencias. Los resultados se presentan en cifras absolutas y porcentajes. Resultados: se incluyen 150 de los 165 informes de IC obtenidos (90,91%), en los que constan respuestas cualitativas y manuscritas a la pregunta: ¿Qué consecuencias ha tenido para ti el incidente crítico? Se obtienen 311 respuestas con una media de 5,01 (+/- 2,71) respuestas por residente. Se clasifican en 42 grupos diferentes. La mayoría de los IC analizados tienen repercusiones para los residentes. Son negativas 36,33%. Ambivalentes, aquellas que potencialmente pueden ser positivas o negativas, 40,19%. Y positivas 23,47%. Conclusiones: Los IC analizados tienen importantes repercusiones para casi todos los residentes, que pueden ser negativas, ambivalentes o positivas. Se identifican 42 grupos de consecuencias. Los residentes muestran una alta motivación respecto a estas repercusiones. La identificación precoz de los IC del residente, la caracterización y la reflexión sobre las repercusiones tienen un gran interés como oportunidades para mejorar su formación.(AU)

Objectives: To ascertain and analyze the consequences of the critical incidents (CI) that have been identified and collected by Family and Community Medicine (FCM) residents in their training portfolio, as part of this programmed teaching task. Materials and methods: This is a descriptive, quantitative-qualitative, retrospective, analytical and multicentre study on the CIs reported by the residents. Setting: Primary Care. Specialized health training. Health Centres belonging to a Teaching Unit in Murcia. From a total of 76 FCM residents who were training in the Teaching Unit in 2015, a total of 62 residents and their training portfolios were included. Cases are the CI reports that contain qualitative and handwritten answers in the open response sections. Residents were asked for informed consent to access their CIs and data for this research. The most outstanding characteristics presented by the CIs were analyzed by collecting the open answers from the CI reports, which were then discreetly coded. These characteristics were collected and tabulated and data were presented in absolute and percentages figures. Responses were collected, grouped, encoded, tabulated and the consequences of the CIs were analyzed. Results are shown in absolute figures and percentages. Results: a total of 150 out of 165 CI reports (90.91%) were included in this study, which encompass those containing qualitative and handwritten answers to the question “What consequences did the critical incident have for you? A total of 311 responses were obtained, which can be classified into 42 different groups, with an average of 5.01 (+/- 2.71) responses per resident. Most analyzed CIs had important consequences and repercussions for residents.(AU)

[Patient safety training and a safe teaching in primary care]. / La formación en seguridad del paciente y una docencia segura en atención primaria.

This narrative review manuscript aims to raise the difficulties and opportunities for patient safety in specialised healthcare training considering undergraduate, postgraduate, specialist and continuing education, even during the COVID-19 pandemic. It also suggests some proposals for carrying it out. It very briefly discusses this specific training and its current situation in primary care. Highlighting that patient safety is a need, an area of competence and a training opportunity for residents. It establishes the general framework of patient safety in primary care in the document "7 steps for Patient Safety in Primary Care", stating the need for a systemic approach. It highlights the elaboration and presentation of cases on clinical errors as the most frequent training strategy. The real-life clinical scenarios relate to difficult patients, critical incidents and bioethics issues in professional practice. These scenarios have as common characteristics, the fact to produce difficulties and suffering for all the actors involved. Several instruments for training in patient safety are also included. The medium-term goal is to consolidate clinical safety in specialised healthcare training. Finally, an analysis is made of the impact of the pandemic on patient safety training, particularly on specialised healthcare training and some proposals are recommended on how to carry out safe teaching in the times of the COVID-19 pandemic.

Leptin increases GABAergic synaptogenesis through the Rho guanine exchange factor ß-PIX in developing hippocampal neurons.

Developing hippocampal neurons undergo rapid synaptogenesis in response to neurotrophic signals to form and refine circuit connections. The adipokine leptin is a satiety factor with neurotrophic actions, which potentiates both glutamatergic and GABAergic synaptogenesis in the hippocampus during neonatal development. Brief exposure to leptin enhances GABAA receptor-dependent synaptic currents in hippocampal neurons. Here, using molecular and electrophysiological techniques, we found that leptin increased the surface localization of GABAA receptors and the number of functional GABAergic synapses in hippocampal cultures from male and female rat pups. Leptin increased the interaction between GABAA receptors and the Rho guanine exchange factor ß-PIX (a scaffolding protein at GABAergic postsynaptic sites) in a manner dependent on the kinase CaMKK. We also found that the leptin receptor and ß-PIX formed a complex, the amount of which transiently increased upon leptin receptor activation. Furthermore, Tyr985 in the leptin receptor and the SH3 domain of ß-PIX are crucial for this interaction, which was required for the developmental increase in GABAergic synaptogenesis. Our results suggest a mechanism by which leptin promotes GABAergic synaptogenesis in hippocampal neurons and reveal further complexity in leptin receptor signaling and its interactome.

Strategies for Attention to Diversity: Perceptions of Secondary School Teaching Staff.

(1) Background: Attention to diversity constitutes an aspect that influences system quality and offers a perspective of the capacity of educational centres to respond to educational needs. The present study carried out an examination of the perceptions held by secondary school teachers and the level of importance conferred by them to the variables that should be integrated into plans and will influence the degree of compliance. (2) Methods: Quantitative descriptive research was performed using a survey to collect data from teachers at schools that had a Quality Management System available. (3) Results: Interaction with families is necessary to agree upon the centre's objectives to address diversity and to define an optimisation strategy for resources in virtue of their availability within the centre. It is key to establish an appropriate teacher-student ratio to encourage compliance. (4) Conclusions: Teachers are the great pillars of quality education. Their perceptions are the route through which deficient aspects and the dimensions that must be improved when formulating these strategies can be recognised with attention to diversity.

Leptin Controls Glutamatergic Synaptogenesis and NMDA-Receptor Trafficking via Fyn Kinase Regulation of NR2B.

Activation of the leptin receptor, LepRb, by the adipocytokine/neurotrophic factor leptin in the central nervous system has procognitive and antidepressive effects. Leptin has been shown to increase glutamatergic synaptogenesis in multiple brain regions. In contrast, mice that have a mutation in the LepRb gene show abnormal synapse development in the hippocampus as well as deficits in cognition and increased depressive-like symptoms. Leptin increases glutamatergic synaptogenesis, in part, through enhancement of N-methyl-D-aspartic acid (NMDA) receptor function; yet the underlying signaling pathway is not known. In this study, we examine how leptin regulates surface expression of NR2B-containing NMDA receptors in hippocampal neurons. Leptin stimulation increases NR2BY1472 phosphorylation, which is inhibited by the Src family kinase inhibitor, PP1. Moreover, we show that Fyn, a member of the Src family kinases, is required for leptin-stimulated NR2BY1472 phosphorylation. Furthermore, inhibiting Y1472 phosphorylation with either a dominant negative Fyn mutant or an NR2B mutant that lacks the phosphorylation site (NR2BY1472F) blocks leptin-stimulated synaptogenesis. Additionally, we show that LepRb forms a complex with NR2B and Fyn. Taken together, these findings expand our knowledge of the LepRb interactome and the mechanisms by which leptin stimulates glutamatergic synaptogenesis in the developing hippocampus. Comprehending these mechanisms is key for understanding dendritic spine development and synaptogenesis, alterations of which are associated with many neurological disorders.

Laboratory Validation and Field Assessment of Petroleum Laboratory Technicians' Dermal Exposure to Crude Oil Using a Wipe Sampling Method.

Crude oil may cause adverse dermal effects therefore dermal exposure is an exposure route of concern. Galea et al. (2014b) reported on a study comparing recovery (wipe) and interception (cotton glove) dermal sampling methods. The authors concluded that both methods were suitable for assessing dermal exposure to oil-based drilling fluids and crude oil but that glove samplers may overestimate the amount of fluid transferred to the skin. We describe a study which aimed to further evaluate the wipe sampling method to assess dermal exposure to crude oil, with this assessment including extended sample storage periods and sampling efficiency tests being undertaken at environmental conditions to mimic those typical of outdoor conditions in Saudi Arabia. The wipe sampling method was then used to assess the laboratory technicians' actual exposure to crude oil during typical petroleum laboratory tasks. Overall, acceptable storage efficiencies up to 54 days were reported with results suggesting storage stability over time. Sampling efficiencies were also reported to be satisfactory at both ambient and elevated temperature and relative humidity environmental conditions for surrogate skin spiked with known masses of crude oil and left up to 4 h prior to wiping, though there was an indication of reduced sampling efficiency over time. Nineteen petroleum laboratory technicians provided a total of 35 pre- and 35 post-activity paired hand wipe samples. Ninety-three percent of the pre-exposure paired hand wipes were less than the analytical limit of detection (LOD), whereas 46% of the post-activity paired hand wipes were less than the LOD. The geometric mean paired post-activity wipe sample measurement was 3.09 µg cm-2 (range 1.76-35.4 µg cm-2). It was considered that dermal exposure most frequently occurred through direct contact with the crude oil (emission) or via deposition. The findings of this study suggest that the wipe sampling method is satisfactory in quantifying laboratory technicians' dermal exposure to crude oil. It is therefore considered that this wipe sampling method may be suitable to quantify dermal exposure to crude oil for other petroleum workers.

Sudden headache, lumbar puncture, and the diagnosis of subarachnoid hemorrhage in patients with a normal computed tomography scans. / Cefalea súbita, punción lumbar y diagnóstico de hemorragia subaracnoidea en pacientes con una tomografía computarizada normal.

OBJECTIVES: To assess the usefulness of computed tomography (CT) to identify subarachnoid bleeding in patients with neurologic deficits seeking emergency care for sudden headache within 6 hours of onset of symptoms. MATERIAL AND METHODS: Retrospective observational study of patients presenting with sudden nontraumatic headache peaking during the previous hour in the absence of neurologic deficits. We ordered CT scans for all patients, and if the scan was normal we performed a lumbar puncture. All patients were then followed for 6 months. RESULTS: Eighty-five patients were included. Subarachnoid bleeding was identified in 10 (10.2%) patients by CT. Seventy- four lumbar punctures were performed in patients with negative CTs; the lumbar puncture was positive in 1 patient and inconclusive in 2 patients. In all 3 patients, bleeding was ruled out with later images; thus, no cases of subarachnoid hemorrhage were confirmed in the 74 patients who underwent lumbar puncture. Nor were any cases found in any of these patients during follow-up. CONCLUSION: A CT scan taken within 6 hours of onset of sudden headache is sufficient for confirming or ruling out subarachnoid bleeding in patients with sudden headache who have no neurologic deficits.

OBJETIVO: Valorar la utilidad de la tomografía computarizada (TC) para identificar la hemorragia subaracnoidea (HSA) en pacientes que consultan en el servicio de urgencias por cefalea súbita sin déficit neurológico dentro de las seis primeras horas desde el comienzo de los síntomas. METODO: Estudio observacional, retrospectivo, de pacientes que consultaron por cefalea súbita, no traumática, con un pico de máxima intensidad dentro de la hora previa y sin déficit neurológico. A todos los pacientes se les realizó una TC seguida de una punción lumbar (PL) si la TC era normal, y seguimiento a los 6 meses. RESULTADOS: Se incluyeron 85 pacientes. Se diagnosticaron 10 (10,2%) casos de HSA en la TC, y se realizaron 74 PL, en pacientes con una TC negativa, de las que una fue positiva y dos no concluyentes, pero en estudios posteriores de imagen se descartó la HSA. En total, la PL en 74 pacientes con TC normal no confirmó ningún caso de HSA. Tampoco se confirmó ningún caso durante el seguimiento. CONCLUSIONES: En los pacientes con cefalea súbita y sospecha de HSA, sin inconsciencia ni focalidad neurológica, una TC de alta resolución realizada en las primeras 6 horas desde la aparición de la cefalea fue suficiente para confirmar o descartar ese diagnóstico.

Cefalea súbita, punción lumbar y diagnóstico de hemorragia subaracnoidea en pacientes con una tomografía computarizada normal / Sudden headache, lumbar puncture, and the diagnosis of subarachnoid hemorrhage in patients with a normal computed tomography scans

Objetivo. Valorar la utilidad de la tomografía computarizada (TC) para identificar la hemorragia subaracnoidea (HSA) en pacientes que consultan en el servicio de urgencias por cefalea súbita sin déficit neurológico dentro de las seis primeras horas desde el comienzo de los síntomas. Método. Estudio observacional, retrospectivo, de pacientes que consultaron por cefalea súbita, no traumática, con un pico de máxima intensidad dentro de la hora previa y sin déficit neurológico. A todos los pacientes se les realizó una TC seguida de una punción lumbar (PL) si la TC era normal, y seguimiento a los 6 meses. Resultados. Se incluyeron 85 pacientes. Se diagnosticaron 10 (10,2%) casos de HSA en la TC, y se realizaron 74 PL, en pacientes con una TC negativa, de las que una fue positiva y dos no concluyentes, pero en estudios posteriores de imagen se descartó la HSA. En total, la PL en 74 pacientes con TC normal no confirmó ningún caso de HSA. Tampoco se confirmó ningún caso durante el seguimiento. Conclusiones. En los pacientes con cefalea súbita y sospecha de HSA, sin inconsciencia ni focalidad neurológica, una TC de alta resolución realizada en las primeras 6 horas desde la aparición de la cefalea fue suficiente para confirmar o descartar ese diagnóstico (AU)

Objective. To assess the usefulness of computed tomography (CT) to identify subarachnoid bleeding in patients with neurologic deficits seeking emergency care for sudden headache within 6 hours of onset of symptoms. Methods. Retrospective observational study of patients presenting with sudden nontraumatic headache peaking during the previous hour in the absence of neurologic deficits. We ordered CT scans for all patients, and if the scan was normal we performed a lumbar puncture. All patients were then followed for 6 months. Results. Eighty-five patients were included. Subarachnoid bleeding was identified in 10 (10.2%) patients by CT. Seventy-four lumbar punctures were performed in patients with negative CTs; the lumbar puncture was positive in 1 patient and inconclusive in 2 patients. In all 3 patients, bleeding was ruled out with later images; thus, no cases of subarachnoid hemorrhage were confirmed in the 74 patients who underwent lumbar puncture. Nor were any cases found in any of these patients during follow-up. Conclusions. A CT scan taken within 6 hours of onset of sudden headache is sufficient for confirming or ruling out subarachnoid bleeding in patients with sudden headache who have no neurologic déficits (AU)

Hoxa9 and EGFP reporter expression in human Embryonic Stem Cells (hESC) as useful tools for studying human development.

HoxA9 is an evolutionarily conserved homeobox gene implicated in embryo development. To study the roles of Hoxa9 during human development we generated a transgenic H9 (hESC) line that overexpresses HoxA9 and the Enhanced Green Fluorescent Protein (EGFP), and a control H9 with a stable expression of the EGFP. The resulting H9-HoxA9-EGFP and H9-EGFP cell lines allow an efficient visualization of hESCs by fluorescent microscopy, quantification by flow cytometry and cell differentiation tracking. Both transgenic cell lines maintained the pluripotent phenotype, the ability to differentiate into all three germ layers and a normal karyotype.

Crack Detection in Concrete Tunnels Using a Gabor Filter Invariant to Rotation.

In this article, a system for the detection of cracks in concrete tunnel surfaces, based on image sensors, is presented. Both data acquisition and processing are covered. Linear cameras and proper lighting are used for data acquisition. The required resolution of the camera sensors and the number of cameras is discussed in terms of the crack size and the tunnel type. Data processing is done by applying a new method called Gabor filter invariant to rotation, allowing the detection of cracks in any direction. The parameter values of this filter are set by using a modified genetic algorithm based on the Differential Evolution optimization method. The detection of the pixels belonging to cracks is obtained to a balanced accuracy of 95.27%, thus improving the results of previous approaches.

Mechanical properties of a new thermoplastic polymer orthodontic archwire.

A new thermoplastic polymer for orthodontic applications was obtained and extruded into wires with round and rectangular cross sections. We evaluated the potential of new aesthetic archwire: tensile, three point bending, friction and stress relaxation behaviour, and formability characteristics were assessed. Stresses delivered were generally slightly lower than typical beta-titanium and nickel-titanium archwires. The polymer wire has good instantaneous mechanical properties; tensile stress decayed about 2% over 2h depending on the initial stress relaxation for up to 120h. High formability allowed shape bending similar to that associated with stainless steel wires. The friction coefficients were lower than the metallic conventional archwires improving the slipping with the brackets. This new polymer could be a good candidate for aesthetic orthodontic archwires.

Fatigue life of bioactive titanium dental implants treated by means of grit-blasting and thermo-chemical treatment.

OBJECTIVE: This study focuses on the fatigue behavior of titanium dental implants as-received, with a grit-blasted surface and with a new bioactive surface treatment (2Steps). BACKGROUND: The 2Step process consists of (1) an initial grit-blasting process to produce a micro-rough surface, followed by (2) a combined thermo-chemical treatment that produces a potentially bioactive surface, that is, that can form an apatitic layer when exposed to biomimetic conditions in vitro. The 2Step treatment produced micro-rough and apatitic coating implants. METHODS: Residual stresses were determined by means of X-ray diffraction. The fatigue tests were carried out at 37°C on 500 dental implants, and the S-N curve was determined. The fatigue-crack nucleation for the different treatments was analyzed. RESULTS: The fatigue tests show that the grit-blasting process improves the fatigue life. This is a consequence of the layer of compressive residual stresses that the treatment generates in titanium surfaces. Dental implants that had its surfaced prepared with the 2Step procedure (grit-blasting and thermo-chemical treatment) had its fatigue life decreased by 10% due to the incorporation of oxygen to the surface and the relaxation of the compressive residual stress produced by the heat treatment. CONCLUSIONS: Thermo-chemical treatment is an excellent compromise between the improvement of bioactive and mechanical long-life behaviors.

Perfil y competnncias del tutor de residentes d las especialidades hospitalariias de murcia (España)

Objetivo: Conocer las competencias y cualidades que debe tener un Tutor de formación sanitaria especializada, y describir su perfil profesional según los tutores hospitalarios. Material y Métodos: Estudio cualitativo, descriptivo, utilizando la técnica de los informadores clave. Sujetos: 10 tutores de especialidades hospitalarias de un hospital general universitario. Se realizó una encuesta autoaplicable, repartida y recogida personalmente, y de respuestas abiertas, con siete preguntas: 1. ¿Que competencias o cualidades debe tener un Tutor? 2. ¿Que pueden aprender los Residentes de ti? 3. ¿Que es lo que los Residentes no pueden aprender de ti? 4. Lo que no aprendan de ti, ¿de quién lo van a aprender? 5. ¿Que Métodos y Técnicas Docentes utilizas en la formación de los Residentes? 6. ¿Que Métodos y Técnicas Docentes vas a utilizar a partir de ahora? (tras la sesión teórica del curso). 7. ¿Que actividades formativas pluripotenciales has utilizado con tus residentes?. Las respuestas se agruparon por su número por las características que según el RD 183/2008, y las grandes áreas de competencias que debe tener un tutor (conocimientos, habilidades y actitudes). Los datos se presentan en cifras absolutas y frecuencias sobre el total de respuestas. Resultados: La tasa de respuesta de los tutores fue del 100%, con una media de 9 cualidades identificadas por cada tutor (total 90 respuestas). Las cualidades deseables se refieren primero a la competencia docente (44,4%), después a la competencia clínica (27%), seguida de la capacidad de comunicarse y relacionarse con el residente (24,4%); y otras cualidades (3,3%). Lo que pueden aprender los residentes de sus tutores son sobre todo habilidades y actitudes. Y mucho menos conocimientos. También algunas habilidades y actitudes, aunque distintas a las anteriores, es lo que los residentes no van a aprender de estos tutores. Lo que no aprendan de sus tutores lo van a aprender de otros colaboradores docentes, de otros tutores, y de otros compañeros. El método docente más utilizado por estos tutores es el de la Observación Directa del Residente mientras realiza sus tareas habituales. Y el método más mencionado para utilizar en el futuro es el de la Revisión por pares. Las actividades formativas pluripotenciales más utilizadas por los tutores son: los casos clínicos, la elaboración de protocolos o guías de práctica clínica y los trabajos de investigación Conclusiones: las competencias más importantes que debe tener un tutor son: ser un buen docente, tener cualidades como formador y ser un buen clínico. Las competencias identificadas permiten identificar un perfil ideal del tutor.

Evaluación formativa mediante el portafolio de 4 promociones de residentes de medicina de familia y comunitaria de la Unidad Docente de Murcia / Training evaluation using the four courses portfolio in primary care residents of a Teaching Unit in Murcia

Objetivo: Evaluar el cumplimiento y la calidad de los 10 grupos de tareas formativas previstas en el modelo de portafolio formativo que realizan todos los residentes de la Unidad Docente de Medicina de Familia y Comunitaria de Murcia. Diseño: Estudio transversal realizado con los portafolios cumplimentados y entregados por todos los residentes en mayo de 2011. Participantes: Todos los residentes que en ese momento se estaban formando en la unidad docente (131). Método: Se establecen 10 grupos de tareas formativas de las recomendadas por la comisión nacional de la especialidad. Se evalúa el cumplimiento de cada una de ellas en cada uno de los portafolios. Se calcula la frecuencia de cumplimiento para cada tarea formativa. Se califica la calidad de la realización de cada una de las tareas, de 0 (muy deficiente) a 10 puntos (excelente). Resultados: Respecto al grado de cumplimiento, las tareas que más se cumplen: cumplimentar correctamente el libro del residente y utilizar la guía de competencias, ambas con un99,24%; seguidas de la elaboración de informes de reflexión sobre las estancias formativas. Todas las tareas obtienen un porcentaje de cumplimiento superior al 67%. El porcentaje medio de cumplimiento es del 86,49%. Todas las tareas obtienen una nota media superior a 7 (notable).La calificación media global fue de 7,80 puntos. Conclusiones: El grado de cumplimiento de las tareas previstas en el portafolio por los residentes es muy satisfactorio. Es necesario seguir insistiendo en la mejora de la realización del portafolio (AU)

Objective: To evaluate the performance and quality of the 10 groups of training tasks envisaged in the portfolio training model undertaken by all residents of the Primary Care Teaching Unit in Murcia. Design: A cross-sectional study was conducted on the portfolios provided and completed by all residents in May 2011.ParticipantsAll residents who were in training at that time (131). Method: Ten groups of training tasks were established from those recommended by the National Commission for the specialty. The performance of each one in each of the portfolios was evaluated, and the compliance for each training task was calculated. The quality of the performance of each of the tasks was given a score, 0 points (very poor) to 10 points (excellent). Results: As regards compliance, the tasks that were most performed were: filling in the Resident book correctly and using the resident skills guide, both with 99.24%, followed by reflection reports on the training visits. All tasks had a compliance rate higher than 67%. The mean percentage of compliance was 86.49%. All tasks obtained an average score greater than 7 (outstanding). The overall mean score was 7,8 points. Conclusions: The level of perfomance of the tasks set out in the portfolio by the residents was very satisfying. It is necessary to continue working on improving the performance of the portfolio (AU)

Wilson maxillary curve analyzed by CBCT. A study onnormocclusion and malocclusion individuals

The anatomy of dental compensation curve in the frontal plane described by George H. Wilson is one of the occlusal determinants of orthodontic treatment. However, there is few published comparing malocclusion and normocclusion individuals. Objectives: The aim of this study is to compare the curve of Wilson at first and second maxillary molars, normocclusion pattern and malocclusion pattern, with and without bilateral posterior crossbite, using angular references in CBCT studies. Material and Methods: We analyzed 10 cases of malocclusion with bilateral posterior crossbite, 10 cases of malocclusion without bilateral posterior crossbite and 10 cases with non orthodontic normocclusion (patients who underwent cone beam study for other reasons than orthodontic). All of them were adults, more than 19 years. Angular variables from left and right axis (line connecting the occlusal and furcation groove) of first and second molars towards a perpendicular to the frontal palate were measured. There was carried out an Anova test, Bonferroni analysis and Levene´s statistics. Results: The descriptive analysis of the results shows an average values of total maxillary curve of Wilson for first molars (sum of left and right angle) of 8.1° for normocclusion group, 0.4° for the malocclusion pattern with bilateral posterior crossbite and 16.9° for the malocclusion pattern without this alteration. The mean differences was statistical significant (P<0,042) between between malocclusion pattern groups with and without crossbite .Conclusion: The curve of Wilson, measured at maxillary first molars in patients with bilateral posterior crossbiteis more concave than the other groups, suggesting no dentoalveolar compensations (AU)

Wilson maxillary curve analyzed by CBCT. A study on normocclusion and malocclusion individuals.

UNLABELLED: The anatomy of dental compensation curve in the frontal plane described by George H. Wilson is one of the occlusal determinants of orthodontic treatment. However, there is few published comparing malocclusion and normocclusion individuals. OBJECTIVES: The aim of this study is to compare the curve of Wilson at first and second maxillary molars, normocclusion pattern and malocclusion pattern, with and without bilateral posterior crossbite, using angular references in CBCT studies. MATERIAL AND METHODS: We analyzed 10 cases of malocclusion with bilateral posterior crossbite, 10 cases of malocclusion without bilateral posterior crossbite and 10 cases with non orthodontic normocclusion (patients who underwent cone beam study for other reasons than orthodontic). All of them were adults, more than 19 years. Angular variables from left and right axis (line connecting the occlusal and furcation groove) of first and second molars towards a perpendicular to the frontal palate were measured. There was carried out an Anova test, Bonferroni analysis and Levene's statistics. RESULTS: The descriptive analysis of the results shows an average values of total maxillary curve of Wilson for first molars (sum of left and right angle) of 8.1° for normocclusion group, 0.4° for the malocclusion pattern with bilateral posterior crossbite and 16.9° for the malocclusion pattern without this alteration. The mean differences was statistical significant (P<0,042) between between malocclusion pattern groups with and without crossbite . CONCLUSION: The curve of Wilson, measured at maxillary first molars in patients with bilateral posterior crossbite is more concave than the other groups, suggesting no dentoalveolar compensations.